Provider Demographics
NPI:1871821710
Name:PLATINUM HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:PLATINUM HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-616-0800
Mailing Address - Street 1:170 53RD STREET
Mailing Address - Street 2:SUITE #304
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2360
Mailing Address - Country:US
Mailing Address - Phone:718-616-0800
Mailing Address - Fax:718-709-7712
Practice Address - Street 1:170 53RD STREET SUITE 304
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-2360
Practice Address - Country:US
Practice Address - Phone:718-616-0800
Practice Address - Fax:718-709-7712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1594L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health